KEVIN J LARSEN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1568465300
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
75 PODIATRY in NE
Provider Addresses for KEVIN J LARSEN (DPM)
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
GRAND ISLAND, NE 688025020
Phone: (308) 381-0404
Fax: (308) 381-0408
Type: Mailing
620 N DIERS AVE STE 100
GRAND ISLAND, NE 688034985
Phone: (308) 381-0404
Fax: (308) 381-0408
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $146.
Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.
Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Stryker Corporation ($115).
Total Amount
$146
General + Research + Ownership
Payments
3
Total payment records
General Amount
$146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $115 |
| Averitas Pharma Inc. | $31 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-01-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060110000992 | I | Podiatry | NE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 1,083 | 380 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 384 | 213 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 281 | 94 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 227 | 120 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 167 | 62 | $0 |
Insurance plans in this area (ZIP 68802)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | TN | |
| P O D I A T R Y | GA | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | OK | |
| P O D I A T R Y | WI | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | NC | |
| Nurse Practitioner | LA | |
| P O D I A T R Y | KY | |
| P O D I A T R Y | HI |
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